AU2009229756B2

AU2009229756B2 - Pharmaceutical composition for treating or preventing cancer by inducing dendritic cell-like differentiation from monocytes to improve anticancer immune activity

Info

Publication number: AU2009229756B2
Application number: AU2009229756A
Authority: AU
Inventors: Yuji Kashiwakura; Hiromi Kumon; Yasutomo Nasu; Masami Watanabe
Original assignee: Momotaro Gene Inc
Current assignee: MOMOTARO-GENE Inc
Priority date: 2008-03-28
Filing date: 2009-03-24
Publication date: 2014-01-23
Anticipated expiration: 2029-03-24
Also published as: EP2275114B1; KR20110014142A; US8614093B2; JPWO2009119874A1; AU2009229756A1; CN102026647B; EP2275114A1; US20140056945A1; EP2275114A4; CN102026647A; JP5447861B2; KR101661365B1; US20120034251A1; WO2009119874A1

Abstract

Provided is a composition for treating or preventing cancer through immunotherapy by inducing and activating dendritic cell-like cells. An agent for activating cancer immunity containing the following REIC protein as an active ingredient: (a) a protein including an amino acid sequence represented by SEQ ID NO: 2; or (b) a protein including an amino acid sequence containing substitution, deletion or addition of one or more amino acids in the amino acid sequence represented by SEQ ID NO: 2 and having an activity of inducing differentiation of monocytes into dendritic cell-like cells.

Description

DESCRIPTION PHARMACEUTICAL COMPOSITION FOR TREATING OR PREVENTING CANCER BY INDUCING DENDRITIC CELL-LIKE DIFFERENTIATION FROM MONOCYTES TO IMPROVE ANTICANCER IMMUNE ACTIVITY Technical Field The present invention relates to a pharmaceutical composition for treating or preventing cancer by improving anticancer immune activity. Background Art Dendritic cells (DCs) are the most powerful antigen presenting cells in the living body. Dendritic cells are known to induce immune responses by presenting antibodies to T cells. In addition, it is also known that DCs play a central role in immune reactions by directly acting not only on T cells but also on B cells, NK cells, NKT cells, and the like. Immature DCs receive antigen stimulation so as to cause an increase in the expression of CD40, CD80, CD86, or the like. Accordingly, DCs attain T cell stimulatory capacity. In addition, DCs migrate to peripheral lymphatic tissue and activate T cells that are specific to antigens incorporated thereinto so as to induce immune responses. In general, there are only a small number of references that disclose substances recognized as having the ability to induce dendritic cell(-like) differentiation from blood precursor cells. Most such substances are well-known cytokines. For instance, there are many reports on the induction of differentiation caused by the combined use of GM-CSF and IL-4. This combination is called a "gold standard" for dendritic cell differentiation. In addition, as substances capable of inducing dendritic cell differentiation when used alone or in combination, TNF-alpha, IL-2, IL-3, IL-6, IL-7, IL-12, IL-13, IL-15, HGF (hepatocyte growth factor), a CD40 ligand, M-CSF, an Flt3 ligand, and TGF-beta have been reported. Among these proteins, examples of a

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substance capable of inducing precursor cells to differentiate into dendritic cell(-like) cells when used alone include IL-2, IL-15, HGF, and a CD40 ligand. Of these, only IL-2 has been confirmed to have in vivo anticancer effects (see Non-Patent Document 1). Meanwhile, the REIC gene is known as a gene involved in cell immortalization. It has been reported that the expression of the gene is suppressed in cancer cells (see Patent Document 1 and Non-Patent Documents 2 to 5). The REIC gene is a member of the Dkk family. It has been suggested that Dkk-1, which is a member of such family, inhibits Wnt signal transduction via Wnt receptors (Non-Patent Documents 6 and 7). The Wnt gene has been reported to play multifaceted roles in important biological phenomena such as cell growth, cell differentiation, and canceration (see Non-Patent Document 8). Therefore, similarly, the Dkk family (including 4 currently known human genes) probably has important functions for cell growth, cell differentiation, and canceration. However, most of the functions of the Dkk family have not been elucidated. Patent Document 1: WO01/038523 Non-Patent Document 1: Zou GM. Et al., Eur Cytokine Netw. 2002 Apr-Jun; 13(2):186-99. Non-Patent Document 2: Tsuji, T. et al., BiochemBiophys Res Commun 268, 20-4 (2000), Non-Patent Document 3: Tsuji, T. et al., BiochemBiophys Res Commun 289, 257-63 (2001) Non-Patent Document 4: Nozaki, I. et al., Int J Oncol 19, 117-21 (2001) Non-Patent Document 5: Kurose, K. et al., J Urol 171, 1314-8 (2004) Non-Patent Document 6: Bafico, A. et al., Nat Cell Biol 3, 683-6 (2001) Non-Patent Document 7: Hoang, B. H. et al., Cancer Res 64, 2734-9 (2004) Non-Patent Document 8: Moon, R. T. et al., Science 296, 1644-6 (2002) Disclosure of the Invention It is an object of the present invention to induce or activate dendritic cell-like cells so as to treat or prevent cancer by immunotherapy. 2 As described above, the IL-2 protein, which is an immunological cancer therapeutic agent, exhibits therapeutic effects upon specific types of cancer such as renal cell cancer in some cases. However, it is well-known in clinical practice that the types of cancer for which the protein can be administered and the effects of such protein are limited. The present inventors conducted intensive studies on the cancer immunotherapeutic effects of the REIC(REIC/Dkk-3) protein that had been previously isolated by the present inventors. As a result, the present inventors found that the REIC protein can induce monocytes to differentiate into dendritic cell-like cells, allowing the dendritic cell-like cells to cause an immune reaction against a cancer antigen, and thus allowing treatment or prevention of cancer. This has led to the completion of the present invention, which relates to the use of the REIC protein as a dendritic cell differentiation-inducing agent, an agent for activating cancer immunity, or a cancer therapeutic or prophylactic agent. The present inventors found that the REIC protein, which is found to be expressed/secreted at a decreased level in almost any type of cancer, can be used as a cancer therapeutic agent having the effect of activating cancer immunity against various types of cancer, and that the therapeutic effects of the REIC protein may be superior to the therapeutic effects of IL-2. The present inventors have demonstrated that the REIC protein itself can induce anticancer immunity, and they have confirmed the usefulness of the REIC protein for in vivo immune and inflammation phenomena. In view of carcinogenesis, the REIC protein concentration is probably low in tissue in which canceration progresses (because the expression or secretion of the REIC protein is absent or reduced in many types of cancer cells). Therefore, it is thought that the anticancer immune activity is unlikely to be induced in cancer tissue so that the presence of cancer is not detected through the biological immunity (cancer cell immunological tolerance), resulting in proliferation or progression of cancer. Under such circumstances, the REIC protein is also useful as an agent for preventing canceration/carcinogenesis through anticancer immune activation. Specifically, the present invention is described as follows. 3 [1] An agent for inducing differentiation from monocytes into dendritic cell-like cells, which comprises, as an active ingredient, the following REIC protein: (a) a protein consisting of the amino acid sequence shown in SEQ ID NO: 2; or (b) a protein consisting of an amino acid sequence derived from the amino acid sequence shown in SEQ ID NO: 2 by substitution, deletion, or addition of one or more amino acid(s) and having the activity of inducing differentiation from monocytes into dendritic cell-like cells. [2] The agent for inducing differentiation from monocytes into dendritic cell-like cells according to [1], wherein the monocytes are peripheral blood monocytes. [3] An agent for activating cancer immunity, which comprises, as an active ingredient, the following REIC protein: (a) a protein consisting of the amino acid sequence shown in SEQ ID NO: 2; or (b) a protein consisting of an amino acid sequence derived from the amino acid sequence shown in SEQ ID NO: 2 by substitution, deletion, or addition of one or more amino acid(s) and having the activity of inducing differentiation from monocytes into dendritic cell-like cells. [4] The agent for activating cancer immunity according to [3], wherein the monocytes are peripheral blood monocytes. [5] A pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity, which comprises the agent for activating cancer immunity according to [3] or [4]. [6] An agent for inducing differentiation from monocytes into dendritic cell-like cells, which comprises, as an active ingredient, the following REIC DNA: (a) DNA consisting of the nucleotide sequence shown in SEQ ID NO: 1; or (b) DNA that hybridizes under stringent conditions to DNA consisting of a nucleotide sequence complementary to the nucleotide sequence shown in SEQ ID NO: 1 and encodes a protein having the activity of inducing differentiation from monocytes into dendritic cell-like cells. [7] The agent for inducing differentiation from monocytes into dendritic cell-like 4 cells according to [6], wherein the monocytes are peripheral blood monocytes. [8] An agent for activating cancer immunity, which comprises, as an active ingredient, the following REIC DNA: (a) DNA consisting of the nucleotide sequence shown in SEQ ID NO: 1; or (b) DNA that hybridizes under stringent conditions to DNA consisting of a nucleotide sequence complementary to the nucleotide sequence shown in SEQ ID NO: I and encodes a protein having the activity of inducing differentiation from monocytes into dendritic cell-like cells. [9] The agent for activating cancer immunity according to [8], wherein the monocytes are peripheral blood monocytes. [10] A pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity, which comprises the agent for activating cancer immunity according to [8] or [9]. [11] An agent for inducing differentiation from monocytes into dendritic cell-like cells, which comprises, as an active ingredient, a vector containing the following REIC DNA: (a) DNA consisting of the nucleotide sequence shown in SEQ ID NO: 1; or (b) DNA that hybridizes under stringent conditions to DNA consisting of a nucleotide sequence complementary to the nucleotide sequence shown in SEQ ID NO: 1 and encodes a protein having the activity of inducing differentiation from monocytes into dendritic cells or dendritic cell-like cells. [12] The agent for inducing differentiation from monocytes into dendritic cell-like cells according to [11], wherein the vector is an adenovirus vector. [13] The agent for inducing differentiation from monocytes into dendritic cell-like cells according to [11] or [12], wherein the monocytes are peripheral blood monocytes. [14] An agent for activating cancer immunity comprising, as an active ingredient, a vector containing the following REIC DNA: (a) DNA consisting of the nucleotide sequence shown in SEQ ID NO: 1; or (b) DNA that hybridizes under stringent conditions to DNA consisting of a nucleotide 5 sequence complementary to the nucleotide sequence shown in SEQ ID NO: 1 and encodes a protein having the activity of inducing differentiation from monocytes into dendritic cells or dendritic cell-like cells. [15] The agent for activating cancer immunity according to [14], wherein the monocytes are peripheral blood monocytes. [16] The agent for activating cancer immunity according to [14] or [15], wherein the vector is an adenovirus vector. [17] A pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity, which comprises the agent for activating cancer immunity according to any one of [14] to [16]. [18] The pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity according to [17], wherein the vector is an adenovirus vector. [19] A method for inducing CD14 positive monocytes to differentiate into dendritic cell-like cells, which comprises culturing monocytes collected from an animal in vitro in the presence of the following REIC protein: (a) a protein consisting of the amino acid sequence shown in SEQ ID NO: 2; or (b) a protein consisting of an amino acid sequence derived from the amino acid sequence shown in SEQ ID NO: 2 by substitution, deletion, or addition of one or more amino acid(s) and having the activity of inducing differentiation from monocytes into dendritic cell-like cells. [20] The method according to [19], wherein the monocytes are peripheral blood monocytes. [21] Dendritic cell-like differentiated cells, which have been induced to differentiate from monocytes activated by the REIC protein by the method according to [19] or [20]. [22] The dendritic cell-like differentiated cells according to [21], which are positive for CDlIc, CD40, CD80, CD86, HLA-DR, and CD14 and negative for CDIa. [23] The dendritic cell-like differentiated cells according to [21], which are found to express almost no CDla but express CD14 at a level greater than that expressed in 6 dendritic cells that have been induced from monocytes with the use of GM-CSF and IL-4 when antigens on the cell surfaces are analyzed by flow cytometry. This description includes part or all of the contents as disclosed in the description and/or drawings of Japanese Patent Application No. 2008-086516, which is 5 a priority document of the present application. Throughout this specification the word "comprise", or variations such as "comprises" or "comprising", will be understood to imply the inclusion of a stated element, integer or step, or group of elements, integers or steps, but not the exclusion of any other element, integer or step, or group of elements, integers or steps. 10 Any discussion of documents, acts, materials, devices, articles or the like which has been included in the present specification is not to be taken as an admission that any or all of these matters form part of the prior art base or were common general knowledge in the field relevant to the present disclosure as it existed before the priority date of each claim of this application. 15 Brief Description of Drawings Fig. 1 shows an image indicating the results of western blot analysis of the purified human REIC protein. Fig. 2 shows phase contrast microscopic images indicating the induction of 20 dendritic cell-like differentiation from peripheral blood monocytes with the addition of the human REIC protein. Fig. 3 shows the percentage of all cells represented by dendritic cell-like cells induced to differentiate with the addition of the human REIC protein. Fig. 4 shows images indicating the induction of dendritic cell-like differentiation 25 from peripheral blood monocytes (CD14 positive cells) with the addition of the human REIC protein. Fig. 5 shows images indicating STAT (signal transducer and activator transcription) activation of peripheral blood monocytes with the addition of the human REIC protein. 30 Fig. 6A shows the results of flow cytometry analysis of dendritic cell-like cells induced to differentiate with the addition of the human REIC protein. 7 Fig. 6B shows the results of flow cytometry analysis of dendritic cell-like cells induced to differentiate with the addition of the human REIC protein. Fig. 7 shows experimental protocols of intratumoral administration of the human REIC protein. 5 Fig. 8A shows tumor growth inhibitory effects (time-dependent changes in tumor volume) observed after intratumoral administration of the human REIC protein. Fig. 8B shows tumor growth inhibitory effects (based on tumor weight) 10 7A observed after intratumoral administration of the human REIC protein. Fig. 8C shows tumor growth inhibitory effects (shown in tumor image) observed after intratumoral administration of the human REIC protein. Fig. 9 shows elevation of anticancer immune activity as a result of intratumoral administration of the human REIC protein. Fig. 10 shows the induction of dendritic cell-like differentiation from peripheral blood mononuclear cells with the addition of the human REIC protein. Fig. 11 shows the activity of inducing an allo (allogenic) reaction with the use of CD4* T cells (lymphocytes) in dendritic-like cells induced with the addition of the human REIC protein Best Modes for Carrying out the Invention Hereafter, the present invention is described in detail. The agent for inducing differentiation from monocytes into dendritic cell-like cells, the agent for activating cancer immunity, and the pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity of the present invention comprise, as an active ingredient, REIC DNA or the REIC protein encoded by such DNA. The nucleotide sequence of REIC DNA is shown in SEQ ID NO: 1. In addition, the amino acid sequence of the REIC protein encoded by REIC DNA is shown in SEQ ID NO: 2. A protein encoded by REIC DNA contained in the agent for inducing differentiation from monocytes into dendritic cell-like cells, the agent for activating cancer immunity, and the pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity of the present invention is a protein comprising the amino acid sequence shown in SEQ ID NO: 2 or an amino acid sequence substantially identical to the amino acid sequence shown in SEQ ID NO: 2 and having the activity of inducing differentiation from monocytes into dendritic cell-like cells. Herein, such substantially identical amino acid sequence includes an amino acid 8 sequence derived from the above amino acid sequence by substitution, deletion and/or addition of one or more (1 to 10, preferably 1 to 5, and more preferably 1 or 2) amino acid(s) or an amino acid sequence having at least 85%, preferably 90% or higher, further preferably 95% or higher, and particularly preferably 97% or higher identity to the above amino acid sequence, which is calculated using, for example, BLAST (Basic Local Alignment Search Tool) at the National Center for Biological Information (with the use of, for example, default (i.e., initial) parameters). A protein encoded by REIC DNA can be obtained by chemical synthesis based on the sequence information of SEQ ID NO: 1 or SEQ ID NO: 2. In addition, it can be obtained in the form of a recombinant REIC protein by a gene engineering technique. Further, it can also be obtained according to the descriptions in W001/038523. REIC DNA contained in the agent for inducing differentiation from monocytes into dendritic cell-like cells, the agent for activating cancer immunity, and the pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity of the present invention is DNA that encodes a protein having the activity of inducing differentiation from monocytes into dendritic cell-like cells. Such DNA is selected from among the following examples: DNA that hybridizes under stringent conditions to DNA having a nucleotide sequence complementary to the nucleotide sequence shown in SEQ ID NO: 1; DNA having at least 85% or higher, preferably 90% or higher, more preferably 95% or higher, and particularly preferably 97% or higher identity to the nucleotide sequence shown in SEQ ID NO: 1, which is calculated using, for example, BLAST (Basic Local Alignment Search Tool) at the National Center for Biological Information (with the use of, for example, default (i.e., initial) parameters); and DNA that encodes a protein comprising an amino acid sequence derived from the amino acid sequence of the protein encoded by the aforementioned DNA by substitution, deletion and/or addition of one or more (1 to 10, preferably 1 to 5, and more preferably 1 or 2) amino acid(s). Under "stringent conditions" referred to herein, for example, hybridization is carried out with IX SSC, 0.1% SDS, and 37*C. Under more stringent conditions, it is carried out with 0.5X SSC, 0.1% SDS, and 42*C. 9 Under further stringent conditions, it is carried out with 0.2X SSC, 0.1% SDS, and 65*C. Further, REIC DNA contained in the agent for inducing differentiation from monocytes into dendritic cell-like cells, the agent for activating cancer immunity, and the pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity of the present invention is DNA that encodes the protein shown in SEQ ID NO: 2. The expression "activity of inducing differentiation from monocytes into dendritic cell-like cells" used herein refers to activity that causes monocytes to differentiate into dendritic cell-like cells. It is possible to detect whether or not the addition of the REIC protein results in the induction of differentiation into dendritic cell-like cells based on morphological characteristics and the presence of surface antigens. Specifically, such dendritic cell-like cells are morphologically characterized by their dendrites. Also, such dendritic cell-like cells are characterized in that they are found to be positive for dendritic cell markers such as CD11c, CD40, CD80, CD86, and HLA-DR, which are surface antigens, by flow cytometry analysis. REIC DNA can be obtained from human cells, human tissues, or the like based on the sequence information of SEQ ID NO: 1. In addition, it can be obtained in accordance with the descriptions in WO01/038523. Further, the present invention includes a vector comprising REIC DNA. The vector may be introduced into a subject in order to express the REIC protein in the body of the subject and exhibit the effects of inducing differentiation from monocytes into dendritic cell-like cells, effects of activating cancer immunity, and effects of treating or preventing cancer based on the effects of activating cancer immunity. In gene therapy, a target gene (DNA) can be introduced into a subject in accordance with a conventional technique. Examples of techniques for introducing a gene into a subject include a method involving the use of a virus vector and a method involving the use of a non-virus vector. Various techniques are known (Bessatsu Jikken-Igaku (Separate volume, Experimental Medicine), Idenshi-Chiryo-No-Kisogijutsu (Basic Techniques for Gene Therapy), Yodosha Co., Ltd., 1996; Bessatsu Jikken Igaku 10 (Separate volume, Experimental Medicine), Idenshi donyu & hatsugen kaisekijikken-hou (Experimentation of gene introduction & expression analysis), Yodosha, Co., Ltd., 1997; and the Japan Society of Gene Therapy (ed.), "Idenshi chiryo kaihatsu kenkyu handbook (the Handbook for research and development of gene therapy) ," N.T.S., 1999). Representative examples of virus vectors used for gene introduction include an adenovirus vector, an adeno-associated virus vector, and a retrovirus vector. A target gene may be introduced into a cell by introducing a target gene into a DNA or RNA virus, such as a detoxicated retrovirus, herpes virus, vaccinia virus, poxvirus, poliovirus, Sindbis virus, Sendai virus, SV40, or human immunodeficiency virus (HIV), and infecting the cell with such recombinant virus. When the gene of the present invention is used for gene therapy using a virus, an adenovirus vector is preferably used. An adenovirus vector is characterized in that: (1) it can introduce genes into multiple types of cells; (2) it can efficiently introduce genes into cells at the period of growth arrest; (3) it enables concentration via centrifugation to yield high-titer viruses (10 to 11 PFU/ml or more); and (4) it is suitable for direct gene introduction into tissue cells in vivo. As adenovirus vectors used for gene therapy, the second-generation adenovirus vector prepared from the first-generation adenovirus vector lacking the E1/E3 region (Miyake, S. et al., Proc. Natl. Acad. Sci., U.S.A., 93, 1320, 1996) by deleting the E2 or E4 region in addition to the El/E3 region (Lieber, A. et al., J. Virol., 70, 8944, 1996; Mizuguchi, H. & Kay, M. A., Hum. Gene Ther., 10, 2013, 1999) and the third-generation adenovirus vector lacking substantially all the adenovirus genome (GUTLESS) (Steinwaerder, D. S., et al., J. Virol., 73, 9303, 1999) have been developed. The gene of the present invention can be introduced with the use of any of such adenovirus vectors without particular limitation. Further, the adeno-AAV hybrid vector to which the capacity for incorporating the gene into the AAV chromosome has been imparted (Recchia, A. et al., Proc. Natl. Acad. Sci., U.S.A., 96, 2615, 1999) or an adenovirus vector capable of incorporating the gene into the chromosome with the use of a transposon gene may be used, so that such vector can be applied to long-term gene expression. Also, a peptide sequence exhibiting tissue-specific transferability to the HI 11 loop of the adenovirus fiber may be inserted to impart tissue specificity to the adenovirus vector (Mizuguchi, H. & Hayakawa, T., Nippon Rinsho, 7, 1544, 2000). According to the present invention, an adenovirus vector comprising REIC DNA is called "Ad-REIC." Alternatively, the target gene can be introduced into a cell or tissue using a recombinant expression vector into which a gene expression vector, such as a plasmid vector, has been incorporated, without the use of the above viruses. For example, a gene can be introduced into a cell via lipofection, calcium phosphate coprecipitation, a DEAE-dextran method, or direct injection of DNA using a micro glass tube. Also, a recombinant expression vector can be incorporated into a cell via, for example, gene introduction using an internal liposome, gene introduction using an electrostatic type liposome, a method using HVJ-Iiposome, a method using a modified HVJ-liposome (i.e., the HVJ-AVE liposome method), a method using an HVJ-E (envelope) vector, receptor-mediated gene introduction, a method in which a particle gun is used to introduce DNA molecules in a cell with a carrier (i.e., a metal particle), direct introduction of naked-DNA, or gene introduction using various types of polymers. In such a case, any expression vector can be used, provided that such vector can express the target gene in vivo. Examples of such vectors include expression vectors such as pCAGGS (Gene 108, 193-200, 1991), pBK-CMV, pcDNA3.1, and pZeoSV (Invitrogen, Stratagene), and pVAX1 vectors. A vector comprising REIC DNA may adequately comprise a promoter or enhancer for transcribing the gene, poly A signal, a marker gene for labeling and/or selecting the cell into which the gene has been introduced, and the like. In such a case, a known promoter can be used. The vector comprising REIC DNA of the present invention may be introduced into a subject by, for example, the in vivo method wherein a gene therapeutic agent is directly introduced into the body or the ex vivo method wherein a given cell is extracted from a human, a gene therapeutic agent is introduced into the cell ex vivo, and the cell is then returned into the body (Nikkei Science, April 1994, pp. 20-45; Gekkan Yakuji, 36(1), 12 23-48, 1994; Jikken igaku zoukan (Extra volume, Experimental Medicine), 12(15), 1994; the Japan Society of Gene Therapy (ed.), Idenshi chiryo kaihatsu kenkyu handbook, N. T. S., 1999). Monocytes used in the present invention include peripheral blood-derived monocytes, bone marrow-derived monocytes, splenocyte-derived monocytes, and umbilical cord blood-derived monocytes. Of these, peripheral blood-derived monocytes are preferable. When specific monocytes such as CD14 positive monocytes are collected from a living body and induced by the REIC protein to differentiate into dendritic cell-like cells, such monocytes can be collected by an FACS (fluorescent activated cell sorter), a flow cytometer, or the like with the use of the presence of CD14 as an index. The animal species that is the origin of monocytes is not limited. Examples of animals that can be used include mammals such as mice, rats, guinea pigs, hamsters, rabbits, cats, dogs, sheep, pigs, bovines, horses, goats, monkeys, and humans. Isolation of a specific cell population by an FACS can be carried out by a known method. As an FACS or a flow cytometer, an FACS vantage (Becton, Dickinson and Company), an FACS Calibur (Becton, Dickinson and Company), or the like can be used. Monocytes can be cultured by a known technique for culturing human lymphoid cells. For a culture solution, for example, a known base medium such as RPMI1640 or DMEM can be used. Culture may be carried out by adding an appropriate antibiotic, animal serum, or the like to such base medium. Culture vessels used herein are not limited. Commercially available plates, dishes, and flasks can be selected and used depending on the culture scale. The present invention includes a method for culturing monocytes in vitro in the presence of the REIC protein and inducing differentiation from monocytes into dendritic cell-like cells. In the method of the present invention, for example, culture may be carried out using monocytes at a concentration of 104 to 107 cells/ml with the addition of the REIC protein at a concentration of 1 to 20 ig/ml. Dendritic cells play a very important role in the mechanisms of cancer immunity, inflammation, and the like in the living body. Dendritic cell-like cells 13 induced to differentiate by the REIC protein according to the method of the present invention are morphologically similar to dendritic cells induced by IL-4 + GM-CSF. However, to be exact, the dendritic cell-like cells differ from such dendritic cells, and therefore they are novel dendritic cell-like cells. Dendritic cell-like cells induced by the REIC protein are in dendritic forms. In addition, the dendritic cell-like cells are positive for dendritic cell markers such as CD11c, CD40, CD80, CD86, and HLA-DR. In this regard, novel dendritic cell-like cells of the present invention can be classified as dendritic cells. However, they are negative for CDla, which is a dendritic cell marker, and positive for CD14, for which dendritic cells are generally supposed to be negative. In the case of induction from CD14 positive monocytes with stimulation with the REIC protein, it refers to "dendritic cell-like differentiated cells that have been activated by the REIC protein (REIC activated monocytes with dendritic cell features)." The present invention encompasses dendritic cell-like cells induced from CD14 positive monocytes by the REIC protein. Dendritic cell-like cells obtained via induction by the REIC protein can be used for cancer immunotherapy. Specifically, monocytes are collected from a subject, the monocytes are cultured with the REIC protein, the dendritic cell-like cells are induced, and then the obtained dendritic cell-like cells are returned to the subject. Thus, dendritic cell-like cells themselves can be used for cancer therapy or prevention, or the like. In such case, the REIC protein-induced dendritic cell-like cells act in a non-cancer-type-specific manner and exert cancer immunotherapeutic effects. However, it is also possible to add a cancer-type specific tumor antigen upon induction of dendritic cell-like cells. In addition, induced dendritic cell-like cells can be cocultured with a specific tumor antigen. It becomes possible to attack cancer cells in a tumor-specific manner by stimulating dendritic cell-like cells with a cancer-type-specific tumor antigen. In addition, the REIC protein-induced dendritic cell-like cells of the present invention have the ability to cause CD4* T cells to proliferate, allowing the enhancement of anticancer immune activity for a subject. Dendritic cell-like cells can be intradermally, subcutaneously, intravenously, or intralymphaticaly administered. 14 In addition, the REIC protein is thought to have a cytokine-like activity such that the protein acts on cells in an extracellular manner so as to control cell differentiation. Therefore, it is believed that the REIC protein widely functions in vivo in relation to immunity and inflammation. Thus, the REIC protein or DNA encoding the same can be administered to a subject as an agent for inducing differentiation into dendritic cell-like cells or an agent for activating dendritic cell-like cells for in vivo use. The REIC protein induces dendritic cell-like cells in a subject. As a result, the dendritic cell-like cells systematically activate lymphocytes having anticancer activity in the subject, resulting in the exhibition of cancer immune effects. Therefore, the REIC protein or DNA encoding the same can be used as an agent for activating cancer immunity. Further, since the REIC protein-induced dendritic cell-like cells have cancer immune effects, the REIC protein or DNA encoding the same can be used as a pharmaceutical composition for cancer therapy or prevention (a cancer immunotherapeutic agent). In such case, the REIC protein or DNA encoding the same may be administered alone. In this case, the effects are exhibited in a non-cancer-type-specific manner. Alternatively, it may be administered with a specific tumor antigen. In such a case, the effects can be exhibited in a cancer-type-specific manner. Examples of a cancer that is treated or prevented according to the present invention include cranial nerve tumor, skin cancer, gastric cancer, lung cancer, hepatic cancer, lymphoma/leukemia, colon cancer, pancreatic cancer, anal/rectal cancer, esophageal cancer, uterine cancer, breast cancer, adrenal cancer, kidney cancer, renal pelvic and ureteral cancer, bladder cancer, prostate cancer, urethral cancer, penile cancer, testicular cancer, osteoma/osteosarcoma, leiomyoma, rhabdomyoma, and mesoepithelioma. In particular, breast cancer and bladder cancer are preferable. The agent for inducing differentiation from monocytes into dendritic cell-like cells, the agent for activating cancer immunity, and the pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity of the present invention comprises REIC DNA, a vector comprising the DNA, or protein 15 encoded by the DNA, and a pharmacologically acceptable carrier, diluent, or excipient. The agent for inducing differentiation from monocytes into dendritic cell-like cells, the agent for activating cancer immunity, and the pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity of the present invention can be administered in a variety of dosage forms. Examples of dosage forms include: oral administration, such as a tablet, capsule, granule, powder, and syrup; and parenteral administration, such as injection, drop, suppository, spray, eye drop, nasal agent, and patch. The agent for inducing differentiation from monocytes into dendritic cell-like cells, the agent for activating cancer immunity, and the pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity of the present invention can be topically administered. For example, the composition can be administered to a site of cancer via injection to provide the effects thereof. Preferably, the agent of the present invention is injected into a localized cancer region once or two or more times or it is directly injected into the entire cancer lesion so as to spread therein. The agent for inducing differentiation from monocytes into dendritic cell-like cells, the agent for activating cancer immunity, and the pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity of the present invention comprises a carrier, a diluent, and an excipient that are generally used in the drug manufacturing field. For example, lactose or magnesium stearate can be used as a carrier or excipient of a tablet. Physiological saline, a glucose solution, or an isotonic solution containing another adjuvant is used as an aqueous solution of an injection. Such solution may be used in combination with an adequate solubilizer, such as alcohol, a polyalcohol such as propylene glycol, or a nonionic surfactant. Sesame oil, soybean oil, or the like is used as an oily liquid, and,.as a solubilizer, benzyl benzoate, benzyl alcohol, or the like may be used in combination. The dose varies depending on symptoms, age, body weight, and other conditions. A dose of 0.001 mg to 100 mg may be administered at intervals of several 16 days, several weeks, or several months via hypodermic injection, intramuscular injection, or intravenous injection. The present invention is hereafter described in detail with reference to the following examples, although the present invention is not limited thereto. Preparation of recombinant human REIC protein A recombinant human REIC protein was prepared in the manner described below. 1. A plasmid encoding the full-length human REIC gene was introduced into CHO cells via electroporation. Thus, clones capable of stably expressing human REIC were established. The cells (107 cells in total) were cultured in a protein-free medium (C5467, Sigma) containing 2 mM L-glutamine and 8 p.M puromycin at 37*C in the presence of 5% CO 2 for I week during moderate shaking. A CHO cell culture was collected by centrifugation at 2,000 rpm for 5 minutes. Then, the supernatant was obtained (1 L). 2. The supernatant was centrifuged at 4*C at 15000 rpm for 40 minutes. 3. The thus obtained supernatant was filtrated using a 0.22-pm filter (TP99505, TPP, Trasadingen, Swiss). 4. TALON Resin (#635501 Clontech Laboratories) (3 ml of TALON resin per unit of bed volume) was added to the supernatant (IL). 5. The resultant was moderately rotated overnight at 4*C. 6. Centrifugation was performed at 4*C at 700 g for 5 minutes to collect TALON resin. 7. The supernatant was removed. 8. TALON Resin was washed with 40 ml of a washing buffer (50 ml sodium phosphate, 600 mM NaCl). 9. Centrifugation was performed at 4*C at 700 g for 5 minutes. 10. The supernatant was removed. 11. Steps 8 to 10 above were repeated three times. 12. TALON Resin and a washing buffer (15 ml) were added thereto for 17 resuspension. 13. TALON Resin (3 ml) was transferred therefrom to a gravity flow column. 14. An elution buffer (15 ml) was added to the column for elution of an HIS-tagged protein. Then, a human REIC protein was collected. 15. The eluate was dialyzed using 20 mM Tris-HCI (pH 7.5) and 0.1 M NaCl so that the resultant could be subjected to FPLC (Fast Protein Liquid Chromatography). 16. The human REIC protein was purified by FPLC (Mono Q5/50GL column, GE Healthcare) under the conditions described below. Buffer MonoQ buffer A: 20 mm Tris-HCl, pH 7.5, 0.1 M NaCl MonoQ buffer B: 20 mm Tris-HCl, pH 7.5, 0.5 M NaCl Flow rate: 1 ml/minute Flow amount: 70 ml Fraction size: 1 ml 17. Fractions were analyzed by SDS-PAGE and western blot with the use of an anti-human REIC antibody. The final product was confirmed by SDS-PAGE to have a purity of 95% or greater (fig. 1). 18. An appropriate fraction was collected. 19. Dialysis was conducted with PBS. The resultant was used or stored as a stock solution. 20. Centriplus YM-50 (#4423, milipore) was used to concentrate the resultant. 21. The protein concentration was determined by Bradford's method. 22. The protein stock solution was preserved at -80*C before use. Preparation of human monocytes Human PBMCs (peripheral blood monocytes) were prepared from the blood of healthy donors by a standard method involving Ficoll-Paque centrifugation. The cell collection rate was determined by the trypan blue exclusion method. The survival rate was confirmed to be 99% or greater. For preparation of monocytes, PBMCs were resuspended in LGM-3 (serum-free lymphocyte growth medium-3; Lonza). The cells 18 adhering to a plastic dish (subjected to incubation in a 10-cm dish at 37*C for 2 hours) were used as monocytes. In some experiments, CD14* monocytes were separated using CD14+ magnetic-activated cell sorting microbeads (MACS; MiltenyiBiotec). Purified CD14+ monocytes were resuspended in LGM-3. Using flow cytometry, the purity was always found to exceed 95%. Treatment of human monocytes PBMCs were cultured alone or in the presence of the recombinant human REIC protein (10 ptg/ml) or GM-CSF + IL-4 (2 ng/ml each; R&D Systems). The cells were observed with a phase contrast microscope. Fig. 2 shows phase contrast microscopic images (for Days 0, 2, and 7) of PBMCs cultured alone or in the presence of the recombinant human REIC protein or GM-CSF + IL-4. In fig. 2, panels shown on the right side correspond to an enlarged image of a dashed-line rectangle in the image showing protein-free culture (Day 0), that in the image showing culture in the presence of the REIC protein (Day 7), and that in the image showing culture in the presence of GM-CSF + IL-4 (Day 7), respectively. As shown in the figure, in the case in which PBMCs were cultured in the presence of the REIC protein, differentiation into dendritic cell-like cells was observed. The percentage of all cells represented by dendritic cell-like cells was determined for each culture on Day 7. The percentage of all cells represented by dendritic cell-like cells induced to differentiate with the addition of a human REIC protein was determined as described below. Specifically, in 3 independent experiments, 5 randomly selected visual fields (100 cells each) for each group (the protein-free (-) group, the human REIC protein group, and the IL-4+GM-CSF group) were visually observed and dendritic cell-like cells (which were morphologically large and confirmed to have dendrites) were counted under a microscope on Day 7 after administration. Fig. 3 shows the results. Dendritic cell-like cells accounted for several percent in the case of culture of PBMCs alone. However, the cells accounted for approximately 40% in the case of culture in the presence of the REIC protein, and the cells accounted for approximately 60% in the case of culture in the presence of GM-CSF + IL-4. In 19 addition, dendritic cell-like cells induced by the REIC protein were morphologically similar to dendritic cells induced by GM-CSF + IL-4. CD14+ cells and CD14 negative cells were cultured alone or in the presence of the recombinant human REIC protein (1 ig/ml or 10 ig/ml) or GM-CSF + IL-4 (2 ng/ml each). Cells were observed with a phase contrast microscope. Peripheral blood mononuclear cells were composed of monocytes and lymphocytes. In order to determine which cells were induced to differentiate into dendritic cell-like cells, it was attempted to induce dendritic cell-like differentiation from CD14 positive monocytes and from CD14 negative lymphocytes in the presence of commercially available anti-CD14 antibody-conjugated beads with the addition of the human REIC protein. Fig. 4 shows the results of induction of dendritic cell-like differentiation from CD14+ cells. As shown in fig. 4, the induction of dendritic cell-like differentiation was observed exclusively for the CD14 positive monocytes. As shown in the figure, the number of cells induced to differentiate increased depending on the concentration of the REIC protein added. Accordingly, the human REIC protein was found to have effects of inducing dendritic cell-like differentiation from peripheral blood monocytes (CD14 positive). In addition, the effects were exhibited in a dose-dependent manner. Western blot analysis PBMCs were treated with the human REIC protein (10 ig/ml) or GM-CSF + IL-4 (2 ng/ml each) and then washed twice with phosphate buffered saline (PBS). The cells were lysed in a cell lysis buffer (50 mM HEPES (pH 7.4), 250 mM NaCl, 1% NP-40, 1 mM DTT, 1 mM PMSF, 5 ig/ml aprotinin, 2 mM Na 3

VO

4 , 1 mM NaF, and 10 mM p-GP) for protein extraction, followed by centrifugation. Thereafter, the protein in the supernatant was adjusted to an identical concentration for each experiment. The resultant was diluted with an equivalent amount of a 2 x SDS sample buffer and heated at 95*C for 5 minutes. The sample (protein: 10 jig) was applied to 7.5% SDS-PAGE gel, followed by electroblotting on a polyvinylidine fluorodide (PVDF) membrane. Electroblotting was carried out at room temperature for 1 hour with the use of TBS containing a 10% skimmed milk powder, 6% Glycine, and 0.1% Tween-20. The protein 20 was identified using a 1000-fold diluted rabbit polyclonal anti-human REIC antibody (Abarzua F. et al., Cancer Res. 2005 Nov 1; 65(21): 9617-22), an anti-phosphorylated Statl (Try701) antibody (#9171, Cell Signaling Technology), an anti-phosphorylated Stat3 (Try705) antibody (#9131), and an anti-phosphorylated Stat5 (Try694) antibody (#9351). After sufficient washing with TBS containing 0.1% Tween-20 (T-TBS), the obtained blots were treated with a horseradish peroxidase-bound secondary antibody and sufficiently washed with T-TBS, followed by color development by an enhanced chemiluminescence detection method (ECL kit, Amersham Pharmacia Biotech). Fig. 5 shows results of activation of STAT in peripheral blood mononuclear cells with the addition of the human REIC protein. The increased expression of phosphorylated STAT-1 (Tyr), phosphorylated STAT-3 (Tyr), and phosphorylated STAT-5 (Tyr) indicates activation of these proteins. The activation of such proteins is thought to be important for hemocyte differentiation. That is to say, the findings obtained by the western blot method strongly suggest that the REIC protein has the ability to induce hemocyte differentiation via intracellular STAT signals. In addition, the pattern of the action of the REIC protein upon STAT activation (phosphorylation) differed from that of IL-4 + GM-CSF added to positive control dendritic cells. These results and the results obtained by flow cytometry suggest that the addition of the REIC protein causes the induction of dendritic cell-like cells differing from positive control dendritic cells. Flow cytometry analysis Cell culture was terminated with the addition of cold PBS and then cells were cooled on ice for 10 minutes, followed by incubation. Subsequently, the cells were resuspended using a Pasteur pipette and then recovered. Adhering cells were recovered via trypsin treatment and mixed with floating cells. The cells (approximately 5x10 5 cells) were incubated on ice for 60 minutes with the use of PE-conjugated antibodies each diluted 5-fold with PBS (100 pl). The PE-conjugated antibodies used herein were CDIIc (12-0116), CD14 (12-0149), CD1a (12-0019), CD40 (12-0409), CD80 (12-0809), CD83 (12-0839), CD86 (12-0869), and HLA-DR (12-9956) (eBioscience). PE-conjugated immunoglobulins G (IgG) (12-4714, 12-4732) with the same isotype 21 were used as negative controls. After incubation, cells were washed once with I ml of PBS and resuspended in 500 jl of PBS. Subsequently, 104 cells were collected using an FACSCalibur flow cytometer (Becton Dickinson), followed by analysis with the use of CellQuest software (Becton Dickinson). An appropriate gate was made based on the forward scatter pattern specific to the cells. Then, only the cells found inside the gate were analyzed. The cells exhibiting a mean fluorescence index (MFI) value greater than that exhibited by control cells incubated with a control antibody of the same isotype were designated as positive cells. Dead cells were removed based on propidium iodide (PI) staining results and/or scatter characteristics. As a result of PI staining, more than 99% of cells were found to have survived. Endocytosis of FITC-labeled particles The above cells were recovered and resuspended at a concentration of 5 x 106 cells/ml in cold PBS. FITC-conjugated dextran (50 pg; DX FITC; FD40; Sigma) was added to 0.5 ml of the suspension. Subsequently, the cells were incubated at 4*C or 37*C for 1 hour. The cells were washed twice with 1 ml of cold PBS. Then, 10 4 cells were obtained using an FACSCalibur flow cytometer and analyzed by CellQuest software. Figs. 6A and 6B show results of flow cytometry analysis of dendritic cell-like cells that were induced to differentiate with the addition of the human REIC protein. Flow cytometry was performed using cells shown in the enclosed area in fig. 6A. The enclosed area was established such that it had the following two characteristics: it allowed the removal of debris of cells in a specimen; and it allowed the clear monitoring of dendritic cells in the group treated with IL-4 + GM-CSF serving as a positive control. In the chart on the right side in fig. 6A, "CDllc" refers to a bone marrow-derived leukocyte marker (a non-lymphocyte marker). In addition, "CD14" refers to a monocyte or macrophage marker. Further, "DX FITC" refers to FITC-tagged dextran; this substance is often used for evaluation of the phagocytotic (endocytotic) capacity of leukocyte-derived cells. 22 Therefore, cells that were induced to differentiate with the addition of the REIC protein are more similar to monocyte-derived cells than bone marrow leukocyte-derived dendritic cells induced with the addition of IL-4 + GM-CSF. In addition, the cells are dendritic cell-like cells having the ability to phagocytize a foreign body/antibody substantially comparable to that of dendritic cells. In addition, in fig. 6B, "CD Ia" refers to a dendritic cell marker that is thought to be involved in the presentation of a non-peptidic antigen (e.g., lipid antigen). Further, "CD40" refers to a dendritic cell marker that is a receptor of the CD40 ligand (having an ability to induce dendritic cells even when used alone). "CD80" refers to a dendritic cell marker and is thought to be involved together with CD86 in the presentation of antigens to T lymphocytes. "CD83" refers to a dendritic cell marker and is used as a mature dendritic cell marker. "CD86" refers to a dendritic cell marker and is used as an immature dendritic cell marker. "HLA-DR" refers a dendritic cell marker and is strongly expressed during dendritic cell differentiation. Accordingly, cells that were induced to differentiate with the addition of the REIC protein showed a marker expression pattern similar (but not identical) to that of dendritic cells that were induced with the addition of IL-4 + GM-CSF. In conclusion, in view of the other in vitro experimental results, in addition to the above results, it was found that the addition of the REIC protein results in the induction of differentiation of dendritic cell-like cells from CD14-positive peripheral blood monocytes. The cells are morphologically different from peripheral blood monocytes. Also, they are different from dendritic cells that were induced with the addition of IL-4 + GM-CSF. The results shown in fig. 6 indicate that anticancer immunity can be activated by causing dendritic-like cells induced by the human REIC protein and the REIC protein (as in the case of treatment with IL-4 + GM-CSF or IL-4+GM-CSFDC) to have improved in vivo antigen phagocytosis/antibody presentation capacity. Determination of tumor-suppressive effects of the REIC protein in in vivo experiments 23 RM9 cells (1x10 6 cells) were subcutaneously injected into mice (C57BL6, male). On Days 7, 9, 11, 13, 15, 17, and 19 after injection (provided that Day 7 was designated to be the day of the start of administration of the REIC protein), the REIC protein (100 tg (300 p1)) or PBS (300 pl) used as a control was uniformly injected into each tumor formed from the cells. On Day 21, mice were sacrificed. Therapeutic effects upon subcutaneous tumors were examined, and anticancer immune activity was determined. Fig. 7 shows in vivo experimental protocols. Tumor size was measured several days after the above operation. Tumor volume was obtained by the following formula: 1/2 x (minimum diameter) 2 x (maximum diameter). Fig. 8A shows time-dependent changes in tumor volume after treatment. In addition, fig. 8B shows the volume of tumors collected from the mice. Further, fig. 8C shows an image of a tumor collected from a mouse. As shown in figs. 8A to 8C, it was possible to suppress tumor growth via administration of the human REIC protein. Determination of effects of increasing anticancer immune activity of the REIC protein via in vitro cytolytic assay Splenocytes were collected from mice or control mice treated by the method shown in fig. 7 (on Day 14 after the start of administration of the REIC protein). The splenocytes were used as effectors and cultured with RM9 cells (target cells) on a round-bottom 96-well plate. The effector/target ratio (E/T ratio) was 100:1, 50:1, 25:1, or 12.5:1. Target cells were added to wells (5x 103 cells each). The supernatant was collected. Lactate dehydrogenase released from lysed RM9 cells was examined by nonradioactive cytotoxicity assay (CytoTox96, Promega). The lysed cell percentage was calculated by the following formula. (Release during experimentation - Spontaneous release from effectors)/(Maximum release of targets - Spontaneous release of targets) x 100 (%) Fig. 9 shows the results of analysis of anticancer cell immune activity of mouse splenocytes upon RM9 cells. As shown in fig. 9, when the REIC protein was administered, the percentage of lysed cells increased depending on the effector/target ratio. Accordingly, it was revealed that the REIC protein has an effect of increasing 24 anticancer cell immune activity. In this Example, data are represented by the mean ± SEM. An unpaired Student's t-test was used for statistical analysis involving 2 groups. Statistical significance was assumed when the p value was < 0.05. Induction of dendritic cell-like differentiation from peripheral blood mononuclear cells with the addition of the human REIC protein Comparison among a group treated with the REIC protein, a group treated with IL-4 alone, a group treated with GM-CSF alone, and a group treated with IL-4 + GM-CSF was carried out in terms of the percentage of all cells represented by dendritic cell-like cells induced to differentiate. In fig. 10, the vertical axis represents the percentage of cells with dendritic cell-like features (the percentage of all cells represented by dendritic cell-like cells that were morphologically large and confirmed to have dendrites). The cells were visually counted at random with a microscope on Day 7 after the addition of the relevant substance. As shown in fig. 10, the degree of induction of differentiation into dendritic cell-like cells in the group treated with the human REIC protein was statistically significantly greater (shown with "*") than that in the group treated with IL-4 alone and that in the group treated with GM-CSF alone. Accordingly, the ability of the human REIC protein to induce human peripheral blood monocytes to differentiate into dendritic cell-like cells at the concentrations shown in fig. 10 is significantly greater than that in a group treated with IL-4 or GM-CSF (known as a cytokine) alone. Specifically, the human REIC protein is superior to cytokines such as IL-4 and GM-CSF in terms of induction of differentiation into dendritic cell-like cells and has greater usefulness than such cytokines. Activity of inducing an allo (allogenic) reaction with the use of CD4+ T cells (lymphocytes) in dendritic-like cells induced with the addition of the human REIC protein 25 In order to evaluate an anticancer immunity function of REIC protein-induced dendritic-like cells, evaluation of activity of inducing an allo (allogenic) reaction with the use of CD4* T cells (lymphocytes) was conducted. On Day 0, CD14* monocytes were collected from peripheral blood mononuclear cells with the use of MicroBeads (Miltenyi Biotec) for collection of CD14* monocytes. The human REIC protein and IL-4 + GM-CSF were separately added thereto. On Day 7, the different cells were collected and designated as REIC protein-induced dendritic-like cells and IL-4 + GM-CSF-induced dendritic cells (positive control), respectively. In addition, on Day 7, CD4* T cells were selected and collected from peripheral blood mononuclear cells of a donor whose HLA-DR differed from that of a donor of dendritic cells with the use of MicroBeads (Miltenyi Biotec) used for collection of CD4* T cells. A chemical substance (CFSE), which emits fluorescence, was added to the CD4+ T cells at a concentration of 0.05 ptm, followed by culture at room temperature for 5 minutes for cell labeling. Labeled cells were used as allo naive CD4* T cells. Similarly, on Day 7, CD4* T cells (1 x 10 5 cells) were cocultured on a round bottom 96-well plate with the REIC protein-induced dendritic-like cells (6.25 x 10 3 cells per well) or the IL-4 + GM-CSF-induced dendritic cells (6.25 x 10 3 cells per well) for a positive control. CFSE-labeled CD4* T cells were cultured alone for a negative control. Coculture was carried out for 4 days in an incubator under culture conditions of 37*C in the presence of 5% CO 2 and 95% air. On Day 11, the number of CFSE-positive lymphocytes in a random visual field was determined under a microscope. Fig. 11 shows the results. Fig. 11 shows that REIC protein-induced dendritic-like cells (REIC/Dkk-3Mo) have the ability to cause CD4* T cells to grow via coculture, with the increase in the number of cells being statistically more significant (represented by "*") than that in the case of the control group. In addition, it has been demonstrated that such ability is statistically comparable to that of IL-4 + GM-CSF-induced dendritic cells used for a positive control. Specifically, in this Example, dendritic-like cells induced by the human REIC protein and the REIC protein can serve as a very useful means for improving anticancer immunity and treating cancer in clinical practice, as in the case of 26 treatment with IL-4 + GM-CSF or IL-4 + GM-CSFDC. Industrial Applicability The REIC protein has been found to have the following effects when compared with IL-2 and a group of many cytokines conventionally known to have immune activation effects. (1) The REIC protein causes anticancer immune activation and thus exhibits antitumor effects even when used alone. (2) The REIC protein itself is characterized in that REIC gene expression is absent/reduced in many types of cancer and therefore REIC protein formulations are effective for a wide range of cancers. (3) The REIC protein causes anticancer immune activation and thus it can be expected to have the effect of improving not only a localized cancer lesion treated therewith but also a cancer metastatic lesion, and to have the effect of preventing cancer (metastasis). (4) Simultaneous administration of the agent of the present invention and a different existing cancer antigen protein can cause systematic anticancer immune activation via the induction of differentiation into dendritic(-like) cells, allowing prevention of carcinogenesis itself. The REIC protein can be used as a cancer immunotherapeutic agent. All publications, patents, and patent applications cited herein are incorporated herein by reference in their entirety. 27

Claims

1. A method for inducing CD14 positive monocytes to differentiate into dendritic cell-like cells, which comprises culturing monocytes collected from an animal in vitro 5 in the presence of the following REIC protein: (a) a protein consisting of the amino acid sequence shown in SEQ ID NO: 2; or (b) a protein consisting of an amino acid sequence derived from the amino acid sequence shown in SEQ ID NO: 2 by substitution, deletion, or addition of one or more amino acid(s) and having the activity of inducing differentiation from monocytes into 10 dendritic cell-like cells.

2. The method according to claim 1, wherein the monocytes are peripheral blood monocytes. 15

3. Dendritic cell-like differentiated cells, which have been induced to differentiate from monocytes activated by the REIC protein by the method according to claim 1 or 2.

4. The dendritic cell-like differentiated cells according to claim 3, which are 20 positive for CDl Ic, CD40, CD80, CD86, HLA-DR, and CD14 and negative for CD1a.

5. The dendritic cell-like differentiated cells according to claim 3, which are found to express almost no CD1a but express CD14 at a level greater than that expressed in dendritic cells that have been induced from monocytes with the use of GM-CSF and 25 IL-4 when antigens on the cell surfaces are analyzed by flow cytometry.

6. A pharmaceutical composition for cancer therapy or prevention having the effect of activating cancer immunity, which comprises, as an active ingredient, the dendritic cell-like differentiated cells according to any one of claims 3 to 5. 30

7. A method for the treatment or prevention of cancer in a subject, the method comprising administering the pharmaceutical composition according to claim 6.

8. The dendritic cell-like differentiated cells according to any one of claims 3 to 5 35 for use in the manufacture of a medicament for the treatment or prevention of cancer. 28

9. Dendritic cell-like differentiated cells substantially as hereinbefore described.

10. The method of claim 1 or claim 7, or the composition of claim 6 substantially as hereinbefore described. 5 29